HIV prevalence, sexual risk behaviour and sexual mixing patterns among migrants in Amsterdam, the Netherlands
To study (1) HIV prevalence; (2) sexual risk behaviour; (3) sexual mixing patterns; (4) determinants of disassortative (between-group) mixing among migrant groups in Amsterdam, the Netherlands and to gain insight into the potential for heterosexual spread of HIV/sexually transmitted diseases. Cross-...
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| Veröffentlicht in: | AIDS (London) 1999-10, Vol.13 (14), p.1953-1962 |
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| container_end_page | 1962 |
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| container_issue | 14 |
| container_start_page | 1953 |
| container_title | AIDS (London) |
| container_volume | 13 |
| creator | GRAS, M. J WEIDE, J. F LANGENDAM, M. W COUTINHO, R. A VAN DEN HOEK, A |
| description | To study (1) HIV prevalence; (2) sexual risk behaviour; (3) sexual mixing patterns; (4) determinants of disassortative (between-group) mixing among migrant groups in Amsterdam, the Netherlands and to gain insight into the potential for heterosexual spread of HIV/sexually transmitted diseases.
Cross-sectional study among 1660 Surinamese, Antilleans and sub-Saharan Africans, mainly recruited on the streets.
Saliva was tested for HIV and questions were asked about sociodemographic characteristics, sexual behaviour and the ethnicity of sexual partners. Multivariate logistic regression analysis was used to find predictors for disassortative mixing.
HIV prevalence was 1.1% (95% confidence interval: 0.6-1.7). Compared with the Dutch population in general, our study group reported having multiple partners, concurrent partnerships and a history of sexually transmitted diseases much more frequently. Sex in the country of origin during a visit occurred frequently and there was a considerable degree of sexual mixing between different ethnic groups in the Netherlands. For men, disassortative mixing was associated with hard drug use, recent immigration, a high number of partners, being from Nigerian or Hindu-Surinamese origin, a recent sexually transmitted disease and, for steady relationships, consistent condom use. For women, determinants included: hard drug use, low income, being a-religious and, for Antillean and Ghanaian women, consistent condom use.
Our data suggest a potential for heterosexual spread of sexually transmitted diseases within and between ethnic groups in the Netherlands. The potential for HIV spread is however limited by the low HIV prevalence at present among these groups. This situation may change when HIV prevalence increases in the countries of origin, as bridges exist between those countries and the Netherlands. Culturally appropriate AIDS prevention programmes remain important for these groups. |
| doi_str_mv | 10.1097/00002030-199910010-00019 |
| format | Article |
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Cross-sectional study among 1660 Surinamese, Antilleans and sub-Saharan Africans, mainly recruited on the streets.
Saliva was tested for HIV and questions were asked about sociodemographic characteristics, sexual behaviour and the ethnicity of sexual partners. Multivariate logistic regression analysis was used to find predictors for disassortative mixing.
HIV prevalence was 1.1% (95% confidence interval: 0.6-1.7). Compared with the Dutch population in general, our study group reported having multiple partners, concurrent partnerships and a history of sexually transmitted diseases much more frequently. Sex in the country of origin during a visit occurred frequently and there was a considerable degree of sexual mixing between different ethnic groups in the Netherlands. For men, disassortative mixing was associated with hard drug use, recent immigration, a high number of partners, being from Nigerian or Hindu-Surinamese origin, a recent sexually transmitted disease and, for steady relationships, consistent condom use. For women, determinants included: hard drug use, low income, being a-religious and, for Antillean and Ghanaian women, consistent condom use.
Our data suggest a potential for heterosexual spread of sexually transmitted diseases within and between ethnic groups in the Netherlands. The potential for HIV spread is however limited by the low HIV prevalence at present among these groups. This situation may change when HIV prevalence increases in the countries of origin, as bridges exist between those countries and the Netherlands. Culturally appropriate AIDS prevention programmes remain important for these groups.</description><identifier>ISSN: 0269-9370</identifier><identifier>EISSN: 1473-5571</identifier><identifier>DOI: 10.1097/00002030-199910010-00019</identifier><identifier>PMID: 10513655</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Acquired Immune Deficiency Syndrome ; Adolescent ; Adult ; AIDS/HIV ; Amsterdam, Netherlands ; Biological and medical sciences ; Caribbean Cultural Groups ; Cross-Sectional Studies ; drug abuse ; Emigration and Immigration ; Ethnic Groups ; Female ; HIV Infections - epidemiology ; HIV Infections - immunology ; HIV-1 - immunology ; HIV-2 - immunology ; Human immunodeficiency virus ; Human viral diseases ; Humans ; immigrants ; Infectious diseases ; Latin American Cultural Groups ; Male ; Medical sciences ; Middle Aged ; Migrants ; Netherlands - epidemiology ; Netherlands, Amsterdam ; Prevalence ; Racial Relations ; Risk ; Risk-Taking ; Sexual Behavior ; Southern African Cultural Groups ; Surveys and Questionnaires ; Venereal Diseases ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. Aids</subject><ispartof>AIDS (London), 1999-10, Vol.13 (14), p.1953-1962</ispartof><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c452t-6417e6d64944fdbfb50a6a4a3e6c752ffc04e0bf6eb60d1bf592ec29b4b7c5953</citedby><cites>FETCH-LOGICAL-c452t-6417e6d64944fdbfb50a6a4a3e6c752ffc04e0bf6eb60d1bf592ec29b4b7c5953</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925,33775</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1988206$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10513655$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>GRAS, M. J</creatorcontrib><creatorcontrib>WEIDE, J. F</creatorcontrib><creatorcontrib>LANGENDAM, M. W</creatorcontrib><creatorcontrib>COUTINHO, R. A</creatorcontrib><creatorcontrib>VAN DEN HOEK, A</creatorcontrib><title>HIV prevalence, sexual risk behaviour and sexual mixing patterns among migrants in Amsterdam, the Netherlands</title><title>AIDS (London)</title><addtitle>AIDS</addtitle><description>To study (1) HIV prevalence; (2) sexual risk behaviour; (3) sexual mixing patterns; (4) determinants of disassortative (between-group) mixing among migrant groups in Amsterdam, the Netherlands and to gain insight into the potential for heterosexual spread of HIV/sexually transmitted diseases.
Cross-sectional study among 1660 Surinamese, Antilleans and sub-Saharan Africans, mainly recruited on the streets.
Saliva was tested for HIV and questions were asked about sociodemographic characteristics, sexual behaviour and the ethnicity of sexual partners. Multivariate logistic regression analysis was used to find predictors for disassortative mixing.
HIV prevalence was 1.1% (95% confidence interval: 0.6-1.7). Compared with the Dutch population in general, our study group reported having multiple partners, concurrent partnerships and a history of sexually transmitted diseases much more frequently. Sex in the country of origin during a visit occurred frequently and there was a considerable degree of sexual mixing between different ethnic groups in the Netherlands. For men, disassortative mixing was associated with hard drug use, recent immigration, a high number of partners, being from Nigerian or Hindu-Surinamese origin, a recent sexually transmitted disease and, for steady relationships, consistent condom use. For women, determinants included: hard drug use, low income, being a-religious and, for Antillean and Ghanaian women, consistent condom use.
Our data suggest a potential for heterosexual spread of sexually transmitted diseases within and between ethnic groups in the Netherlands. The potential for HIV spread is however limited by the low HIV prevalence at present among these groups. This situation may change when HIV prevalence increases in the countries of origin, as bridges exist between those countries and the Netherlands. Culturally appropriate AIDS prevention programmes remain important for these groups.</description><subject>Acquired Immune Deficiency Syndrome</subject><subject>Adolescent</subject><subject>Adult</subject><subject>AIDS/HIV</subject><subject>Amsterdam, Netherlands</subject><subject>Biological and medical sciences</subject><subject>Caribbean Cultural Groups</subject><subject>Cross-Sectional Studies</subject><subject>drug abuse</subject><subject>Emigration and Immigration</subject><subject>Ethnic Groups</subject><subject>Female</subject><subject>HIV Infections - epidemiology</subject><subject>HIV Infections - immunology</subject><subject>HIV-1 - immunology</subject><subject>HIV-2 - immunology</subject><subject>Human immunodeficiency virus</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>immigrants</subject><subject>Infectious diseases</subject><subject>Latin American Cultural Groups</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Migrants</subject><subject>Netherlands - epidemiology</subject><subject>Netherlands, Amsterdam</subject><subject>Prevalence</subject><subject>Racial Relations</subject><subject>Risk</subject><subject>Risk-Taking</subject><subject>Sexual Behavior</subject><subject>Southern African Cultural Groups</subject><subject>Surveys and Questionnaires</subject><subject>Venereal Diseases</subject><subject>Viral diseases</subject><subject>Viral diseases of the lymphoid tissue and the blood. Aids</subject><issn>0269-9370</issn><issn>1473-5571</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BHHNA</sourceid><recordid>eNqFkc9PFTEQgBsjkQf6L5gejCdWpttf2yMhKiREL-p103anUN3uPttdgv-9hfdAb_TQpjPfTCf9CKEMPjAw-hTqaoFDw4wxDIBBUyPMvCAbJjRvpNTsJdlAq0xjuIZDclTKz4pI6LpX5JCBZFxJuSHp4vIH3Wa8tSNOHk9owbvVjjTH8os6vLG3cV4ztdPwmEnxLk7XdGuXBfNUqE1zvaZ4ne20FBonepZKTQ02ndDlBukXrHsea4vymhwEOxZ8sz-PyfdPH7-dXzRXXz9fnp9dNV7IdmmUYBrVoIQRIgwuOAlWWWE5Kq9lG4IHgeCCQqdgYC5I06JvjRNOe2kkPybvd323ef69Yln6FIvHsQ6B81p6DR0HEPxZUDEhtTDmWZBpAZ3sWAW7HejzXErG0G9zTDb_6Rn09_L6R3n9k7z-QV4tfbt_Y3UJh_8Kd7Yq8G4P2OLtGOqP-1j-cabrWlD8L_ZMon4</recordid><startdate>19991001</startdate><enddate>19991001</enddate><creator>GRAS, M. J</creator><creator>WEIDE, J. F</creator><creator>LANGENDAM, M. W</creator><creator>COUTINHO, R. A</creator><creator>VAN DEN HOEK, A</creator><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7U1</scope><scope>7U2</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>7U3</scope><scope>BHHNA</scope><scope>7X8</scope></search><sort><creationdate>19991001</creationdate><title>HIV prevalence, sexual risk behaviour and sexual mixing patterns among migrants in Amsterdam, the Netherlands</title><author>GRAS, M. J ; WEIDE, J. F ; LANGENDAM, M. W ; COUTINHO, R. A ; VAN DEN HOEK, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c452t-6417e6d64944fdbfb50a6a4a3e6c752ffc04e0bf6eb60d1bf592ec29b4b7c5953</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Acquired Immune Deficiency Syndrome</topic><topic>Adolescent</topic><topic>Adult</topic><topic>AIDS/HIV</topic><topic>Amsterdam, Netherlands</topic><topic>Biological and medical sciences</topic><topic>Caribbean Cultural Groups</topic><topic>Cross-Sectional Studies</topic><topic>drug abuse</topic><topic>Emigration and Immigration</topic><topic>Ethnic Groups</topic><topic>Female</topic><topic>HIV Infections - epidemiology</topic><topic>HIV Infections - immunology</topic><topic>HIV-1 - immunology</topic><topic>HIV-2 - immunology</topic><topic>Human immunodeficiency virus</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>immigrants</topic><topic>Infectious diseases</topic><topic>Latin American Cultural Groups</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Migrants</topic><topic>Netherlands - epidemiology</topic><topic>Netherlands, Amsterdam</topic><topic>Prevalence</topic><topic>Racial Relations</topic><topic>Risk</topic><topic>Risk-Taking</topic><topic>Sexual Behavior</topic><topic>Southern African Cultural Groups</topic><topic>Surveys and Questionnaires</topic><topic>Venereal Diseases</topic><topic>Viral diseases</topic><topic>Viral diseases of the lymphoid tissue and the blood. Aids</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>GRAS, M. J</creatorcontrib><creatorcontrib>WEIDE, J. F</creatorcontrib><creatorcontrib>LANGENDAM, M. W</creatorcontrib><creatorcontrib>COUTINHO, R. A</creatorcontrib><creatorcontrib>VAN DEN HOEK, A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>AIDS (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>GRAS, M. J</au><au>WEIDE, J. F</au><au>LANGENDAM, M. W</au><au>COUTINHO, R. A</au><au>VAN DEN HOEK, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>HIV prevalence, sexual risk behaviour and sexual mixing patterns among migrants in Amsterdam, the Netherlands</atitle><jtitle>AIDS (London)</jtitle><addtitle>AIDS</addtitle><date>1999-10-01</date><risdate>1999</risdate><volume>13</volume><issue>14</issue><spage>1953</spage><epage>1962</epage><pages>1953-1962</pages><issn>0269-9370</issn><eissn>1473-5571</eissn><abstract>To study (1) HIV prevalence; (2) sexual risk behaviour; (3) sexual mixing patterns; (4) determinants of disassortative (between-group) mixing among migrant groups in Amsterdam, the Netherlands and to gain insight into the potential for heterosexual spread of HIV/sexually transmitted diseases.
Cross-sectional study among 1660 Surinamese, Antilleans and sub-Saharan Africans, mainly recruited on the streets.
Saliva was tested for HIV and questions were asked about sociodemographic characteristics, sexual behaviour and the ethnicity of sexual partners. Multivariate logistic regression analysis was used to find predictors for disassortative mixing.
HIV prevalence was 1.1% (95% confidence interval: 0.6-1.7). Compared with the Dutch population in general, our study group reported having multiple partners, concurrent partnerships and a history of sexually transmitted diseases much more frequently. Sex in the country of origin during a visit occurred frequently and there was a considerable degree of sexual mixing between different ethnic groups in the Netherlands. For men, disassortative mixing was associated with hard drug use, recent immigration, a high number of partners, being from Nigerian or Hindu-Surinamese origin, a recent sexually transmitted disease and, for steady relationships, consistent condom use. For women, determinants included: hard drug use, low income, being a-religious and, for Antillean and Ghanaian women, consistent condom use.
Our data suggest a potential for heterosexual spread of sexually transmitted diseases within and between ethnic groups in the Netherlands. The potential for HIV spread is however limited by the low HIV prevalence at present among these groups. This situation may change when HIV prevalence increases in the countries of origin, as bridges exist between those countries and the Netherlands. Culturally appropriate AIDS prevention programmes remain important for these groups.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>10513655</pmid><doi>10.1097/00002030-199910010-00019</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
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| ispartof | AIDS (London), 1999-10, Vol.13 (14), p.1953-1962 |
| issn | 0269-9370 1473-5571 |
| language | eng |
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| source | MEDLINE; Sociological Abstracts; Journals@Ovid Complete; EZB-FREE-00999 freely available EZB journals |
| subjects | Acquired Immune Deficiency Syndrome Adolescent Adult AIDS/HIV Amsterdam, Netherlands Biological and medical sciences Caribbean Cultural Groups Cross-Sectional Studies drug abuse Emigration and Immigration Ethnic Groups Female HIV Infections - epidemiology HIV Infections - immunology HIV-1 - immunology HIV-2 - immunology Human immunodeficiency virus Human viral diseases Humans immigrants Infectious diseases Latin American Cultural Groups Male Medical sciences Middle Aged Migrants Netherlands - epidemiology Netherlands, Amsterdam Prevalence Racial Relations Risk Risk-Taking Sexual Behavior Southern African Cultural Groups Surveys and Questionnaires Venereal Diseases Viral diseases Viral diseases of the lymphoid tissue and the blood. Aids |
| title | HIV prevalence, sexual risk behaviour and sexual mixing patterns among migrants in Amsterdam, the Netherlands |
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